GLEN P REVERE R.D., C.D.E.
NPI 1477628980
Dietitian, Registered in Parker, AZ
- Individual
- Male
- Dietitian, Registered
About GLEN REVERE
This page provides the complete NPI Profile along with additional information for Glen Revere, a provider established in Parker, Arizona with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1477628980 assigned on November 2006. The practitioner's primary taxonomy code is 133V00000X with license number 473669 (). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1477628980 Verify this NPI
- Provider Name
- GLEN P REVERE R.D., C.D.E.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12033 AGENCY RD PARKER, AZ 85344
- Location Phone
- (928) 669-2137
- Location Fax
- (928) 669-3131
- Mailing Address
- 12033 AGENCY RD PARKER, AZ 85344
- Mailing Phone
- (928) 669-2137
- Mailing Fax
- (928) 669-3131
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-21-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 473669
- Taxonomy Description
- A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P51843 | MEDICARE UPIN (02) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PARKER, AZ 85344
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477628980, enumerated as an "individual" on November 21, 2006.
The provider is located at 12033 AGENCY RD PARKER, AZ 85344 and the phone number is (928) 669-2137.
Dietitian, Registered with taxonomy code 133V00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
